| NPI | 1386099646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2018-0818) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD465553) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2023-11-14 |